Visiting Nurse Service and Affiliates
Organization Active NPI Home Health Agency · Lodi, OH
NPI 1215022033 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1215022033
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 810120 (OH)
- Legal business name
- VISITING NURSE SERVICE AND AFFILIATES
- Practice address
- 225 Elyria St
Lodi, OH 44254-1031 - Phone
- (330) 948-4053
- NPI assigned
- Oct 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Jerry Bauman
- Title
- Administrator
- Phone
- (330) 861-6165
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 810120 | OH | Yes |
Addresses
Primary practice location
225 Elyria St
Lodi, OH 44254-1031
Mailing address
225 Elyria St
Lodi, OH 44254-1031
Phone (330) 948-4053
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9072953 | Medicaid | OH |
Other names
- Medina County Visiting Nurse Service
Other providers in Lodi, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.